Individual
OWEN LI QI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
759 45TH ST STE 101, MUNSTER, IN 46321-2939
(219) 922-6226
(219) 922-8784
Mailing address
759 45TH ST STE 101, MUNSTER, IN 46321-2939
(219) 922-6226
(219) 922-8784
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01086159A
IN
207W00000X
Ophthalmology Physician
68338
MN
Other
Enumeration date
06/13/2016
Last updated
07/20/2021
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